Stapled Transanal Rectal Resection for Obstructed Defecation: A Cautionary Tale

Titu, L; Riyad, Kallingal; Carter, Helen; Dixon, A. R.

doi:10.1007/dcr.0b013e3181b550bf

Cited by 31 publications

(29 citation statements)

References 30 publications

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“…[25][26][27] Similar studies published earlier have mentioned that defecatory urgency was the most common problem reported in the immediate and intermediate recovery periods after STARR surgery. 8,24,28 Present study results confirmed that the STARR procedure was effective in relieving symptoms of SRUS, improving quality of life and overall patient's satisfaction. Considering the operative time, duration of hospital stays, and resumption of normal activity STARR is cost effective as compared to other surgical procedures available.…”

Section: Discussionsupporting

confidence: 70%

STARR surgery in treatment of SRUS: an observational study on clinical outcomes

Porwal¹,

Gandhi²,

Kulkarni³

2018

Int Surg J

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Background: SRUS is a condition with inadequately learned pathogenesis and usually associated with disorders of pelvic floor. Commonly seen in young adults and impairs quality of life. Because of these facts the management of SRUS is difficult and there is no clear consensus over it.Methods: An observational, prospective study was planned at a single center with purposive sampling. All clinically diagnosed, histologically and endoscopically confirmed SRUS patients treated with STARR surgery and followed for two years. Data collected and analyzed to evaluate the effectiveness and patients satisfaction.Results: Total of 46 patients with median age 47.8 years; of which 27 (58.70%) were females underwent STARR surgery. The average procedure time was 40 minutes, average length of stay was 24 hours and minimum duration of follow up was about 2 years (range 2-4 years). All patients had a pre-surgery history of digitations, which resolved in 91.3% patients post-surgery. There was a significant improvement in the ODS scores at the end of 2 years (82%; P <0.001). Excessive bleeding from staple line (48.57%), staple line dehiscence in 34.28% and staple line stricture (15.71% all males) are complications observed. No recurrence reported at the end of 4 years.Conclusions: Short postoperative length of stay and the short time to return to work after the STARR procedure for management SRUS, minimal manageable complications, no recurrence and patient’s satisfaction makes STARR a cost-effective procedure.

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Section: Discussionsupporting

confidence: 70%

STARR surgery in treatment of SRUS: an observational study on clinical outcomes

Porwal¹,

Gandhi²,

Kulkarni³

2018

Int Surg J

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“…STARR was performed at The Methodist Hospital or St. Joseph Medical Center Hospital in Houston, TX by two board-certified colon and rectal surgeons (EMH and TBP) with special STARR credentials (course undertaken in a porcine animate lab (Ethicon Endo-Surgery, Inc., Cincinnati, OH) and proctorship of the initial case). Potential complications (e.g., pelvic sepsis, pain, postoperative bleeding, tenesmus, stricture, and urinary retention) [13] were described to the patient prior to surgery and informed consent was obtained. The STARR procedure was performed as previously described under general anesthesia with the patient in lithotomy position [14].…”

Section: Methodsmentioning

confidence: 99%

Patient Satisfaction and Symptomatic Outcomes Following Stapled Transanal Rectal Resection for Obstructed Defecation Syndrome

Ragupathi¹,

Bhoot²,

Pickron³

et al. 2011

Journal of Surgical Research

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“…Only original papers were considered for inclusion. As 4 papers showed a clear overlap (timeframe shift) only the most recent data were considered (19,(24)(25)(26)(27)(28)(29)(30).…”

Section: Methodological Quality Of Included Studiesmentioning

confidence: 99%